Vitreoretinal surgery without schisis cavity excision for the management of juvenile X linked retinoschisis.
Juvenile X linked retinoschisis (XLRS) is a congenital X linked recessive retinal disorder characterised by cystic maculopathy and peripheral schisis. This study presents the case of an 8-month-old boy with a documented positive family history of XLRS, with a large retinoschisis cavity affecting the macula, first in the left eye and 1 year later in the right eye. The patient underwent pars plana vitrectomy in both eyes using 23-G instruments, posterior hyaloid dissection, a small retinotomy, fluid drainage with a 42-G cannula, infrared diode laser and silicone oil as internal tamponade. The anatomical and functional outcomes at 3 years following the first surgery are described. To the authors' knowledge, there is no previously reported experience with this technique in patients with XLRS.
García-Arumí
J
J
Instituto de Microcirugía Ocular, Barcelona, Spain.
Corcóstegui
I A
IA
Navarro
R
R
Zapata
M A
MA
Berrocal
M H
MH
D018450:Disease Progression; D006801:Humans; D007223:Infant; D008266:Macula Lutea / Q000601:surgery; D008297:Male; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery*; D041441:Retinoschisis / Q000235:genetics / Q000473:pathology / Q000601:surgery*; D012827:Silicone Oils / Q000008:administration & dosage; D041623:Tomography, Optical Coherence / Q000379:methods; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*
D012827:Silicone Oils